<div id='widget-awards'>
    <form method="post">
        <ul>
            <li>
                <label>
                    Title
                    <abbr title="Required">*</abbr>
                </label>

                <div>
                    <input type="text" maxlength="100" size="32" required/>
                </div>
            </li>
            <li>
                <label>Occupation</label>

                <div>
                    <select>
                        <option value selected="selected">Choose...</option>
                        <option value="">High School</option>
                        ;

                    </select>

                </div>
            </li>
            <li>
                <label>
                    Issuer
                </label>

                <div>
                    <input type="text" maxlength="100" size="32" required/>
                </div>
            </li>
            <li>
                <label>Dates Attended</label>

                <div>
                    <select>
                        <option value selected="selected">Month..</option>
                        <option value="1">January</option>
                        <option value="2">February</option>
                        <option value="3">March</option>
                        <option value="4">April</option>
                        <option value="5">May</option>
                        <option value="6">June</option>
                        <option value="7">July</option>
                        <option value="8">August</option>
                        <option value="9">September</option>
                        <option value="10">October</option>
                        <option value="11">November</option>
                        <option value="12">December</option>
                    </select>
                    <select>
                        <option value selected="selected">Year..</option>
                        <?php
                        for ($i = 2014; $i > 1900; $i--) {
                            echo '<option value="' . $i . '">' . $i . '</option>';
                        }
                        ?>
                    </select>
                </div>
            </li>
            <li>
                <label>
                    Description
                </label>

                <div>
                    <textarea rows="6" cols="110"></textarea>
                </div>
            </li>
            <p>
                <input name="submit" type="submit" class="btn-primary" value="Save">
                <button class="btn-default">Cancel</button>
            </p>
        </ul>
    </form>
</div>